| NPI | 1649645565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENTELA CIKA Director 508-615-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN1856551) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |